@Ironfeather: what do they mean with total recovery, is he still on the med?
Yes, he takes 8 mg of Silodosin two hours before sexual activity, and that completely eliminates his symptoms, so he's been advised by the authors of the paper to take it that way indefinitely.
Interesting, it's an alpha-1 blocker, but one with high afinity for the prostatic tissue. It's supposed to cause vasodilation, same as niacin. Right now, doing anything that elevates my blood pressure, like pushing, makes me especially sick, and it's much worse if the abdominal muscles are involved. I wonder what's going on and why that med worked for that patient.